| NPI | 1427156801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: RI NPP21164) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: RI NPP21164) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-08-30 |